Autor: |
Teixeira DF; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil., Carvalho TS; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil., Alcântara MC; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil., Ribeiro ACB; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil., Antunes AG; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil., Gadelha AAB; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil., Aquino AKF; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil., Carvalho ILF; Medical School, Hospital das Clínicas da UFPR, Curitiba, Paraná, Brazil., Sabbaga CC; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil., Schultz KL; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil., Amarante ACM; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil., Amado FAB; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil., E Silva EM; Department of Pediatric Surgery, Hospital Pequeno Príncipe, Curitiba, Paraná, Brazil. |
Abstrakt: |
Background: Most residents do not have a defined program for simulation training in video surgery in Brazil. The training takes place for the most part in vivo or in short courses. The goal of this article is to describe and evaluate a set of exercises using low-cost materials, created by the residents themselves, to enable basic skills training in video surgery. Materials and Methods: Seven exercises were elaborated aiming to simulate main maneuvers performed in video surgery. The residents were guided by a written and video description showing the execution of the exercises, performed the exercises, and answered a questionnaire. After 3 weeks of free training, the residents performed the exercises and answered the questionnaire again. Results: Seven residents started the study; however, 6 completed the two steps. Among the participants, 83% received in vivo video surgery training, and only 2 (33%) received some supervised simulation training in minimally invasive surgery before this time. All participants considered the set of seven exercises representative of the actual skills in video surgery. There was no difficulty in acquiring the materials or in assembling them to carry out the training. All the participants had a shorter training time than initially proposed, on average 1 day/week for 20 minutes. Conclusions: A simple set of exercises can be elaborated by the residents themselves and make feasible the simulated training in video surgery even without the availability of sophisticated and expensive materials. The presence of a tutor and the scheduling of exclusive training seem necessary for more satisfactory results. |